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Licensing details for: 65221

Name: SHARMA, SHIV SHANKER

License Type: Dentist

Primary Status: Current - Active

Method of Application: Licensure by WREB

Previous Names: SHARMA, SHIV

Address of Record

2875 Middlefield Rd
Ste 1
PALO ALTO CA 94306-2554
SANTA CLARA county
Map

Issuance Date

October 19, 2015

Expiration Date

October 31, 2025

Current Date / Time

June 6, 2025
11:3:33 PM

License Relationships

FNP Owners

License/Registration Role: Owners

Related Party Role: Fictitious Name Permit

Name: PALO ALTO ORAL HEALTH DENTAL PRACTICE OF SHIV SHARMA DDS INC.

License/Registration Type: Fictitious Name Permit

License Number: 14882 Primary Status: Expired

Address :
2875 MIDDLEFIELD ROAD., SUITE 1
PALO ALTO CA 94306
SANTA CLARA COUNTY

Map

FNP to DDS or OMS

License/Registration Role: Must hold an active Dental License, or Oral Maxillofacial Surgery Permit

Related Party Role: Fictitious Name Permit

Name: PALO ALTO ORAL HEALTH DENTAL PRACTICE OF SHIV SHARMA DDS INC.

License/Registration Type: Fictitious Name Permit

License Number: 14882 Primary Status: Expired

Address :
2875 MIDDLEFIELD ROAD., SUITE 1
PALO ALTO CA 94306
SANTA CLARA COUNTY

Map

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